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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Reliable Could The Heart Monitor Be Since It Showed Less Pulse But Did Not Have Any Symptoms?

How reliable is the heart monitor from HeartCare Corp. in Ewing NJ. I had a monitor on for two weeks and they said it showed my pulse dropped to 35 in the afternoons. I question that, because never had any symptoms and have checked myself. I have had a slow pulse all my life when at rest ( 40 s ).
Thu, 23 Apr 2015
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General & Family Physician,  's  Response
Hi welcome to HCM.
I understand your query and concern.
Clinical examination and palpation of pulse rate is always accurate than a monitor.So I advise you to get your pulse and blood pressure monitored manually.If still its dropping it could be due to Congestive heart failure.I advise you to get an ECG,2 D Echo,lipid profile immediately to confirm the diagnosis.If if the ejection fraction is under 30% you need immediate hospitalisation.Its always advisable to keep the blood pressure under 130/80 mm of hg.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms.Reduce the intake of fatty and fried food.Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat.Avoid smoking and alcohol.Semiannual follow ups are advisable on maintenance. Once the above measures are carried out,good survival can be expected.
Consult a Cardiologist for further expert management.
Post your further queries if any.
Thank you.
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How Reliable Could The Heart Monitor Be Since It Showed Less Pulse But Did Not Have Any Symptoms?

Hi welcome to HCM. I understand your query and concern. Clinical examination and palpation of pulse rate is always accurate than a monitor.So I advise you to get your pulse and blood pressure monitored manually.If still its dropping it could be due to Congestive heart failure.I advise you to get an ECG,2 D Echo,lipid profile immediately to confirm the diagnosis.If if the ejection fraction is under 30% you need immediate hospitalisation.Its always advisable to keep the blood pressure under 130/80 mm of hg.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms.Reduce the intake of fatty and fried food.Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat.Avoid smoking and alcohol.Semiannual follow ups are advisable on maintenance. Once the above measures are carried out,good survival can be expected. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you.